NPIMap

Organization Active NPI

Robert a Hoffman

  • Optometrist
  • Folsom, CA
National Provider Identifier
1104121961
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9263T Issued in CA
Legal business name
ROBERT A HOFFMAN
Practice address
705 E Bidwell St
Suite 10
Folsom, CA 95630-3315
Phone
(916) 983-6211
Fax
(916) 983-6608
NPI assigned
Jan 25, 2011
Last updated
Jan 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert A Hoffman, ODNPI 1174571731
Title
Owner
Phone
(916) 983-6211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 9263T CA Primary

Addresses

Primary practice location

705 E Bidwell St
Suite 10
Folsom, CA 95630-3315

Mailing address

705 E Bidwell St
Suite 10
Folsom, CA 95630-3315
Phone (916) 983-6211

National Provider Directory

National Provider Directory

Locations

705 E Bidwell St
Ste 10
Folsom, CA 95630
Phone (916) 983-6211

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1104121961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E BIDWELL ST",
            "address_2": "SUITE 10",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303315",
            "telephone_number": "916-983-6211",
            "fax_number": "916-983-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E BIDWELL ST",
            "address_2": "SUITE 10",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303315",
            "telephone_number": "916-983-6211",
            "fax_number": "916-983-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A HOFFMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-25",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-983-6211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9263T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.